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目的了解紧急开赴高原展开抗震救灾任务官兵的心理应激损伤状况,探讨影响官兵心理应激反应的相关因素。方法整群随机抽取玉树抗震救灾某部158名官兵,采用一般情况调查表、创伤后应激障碍自评量表(PTSD-SS)和生活事件量表(LES)进行调查分析。结果救灾官兵存在明显创伤后应激反应症状的占16.5%,显著高于同部未参加抗震救灾的官兵6.5%(χ2=7.09,P<0.01)。PTSD-SS总分与职务、兴趣爱好、社会支持和救灾经历呈显著负相关(P均<0.01),与创伤史、LES负性事件分和LES总分呈显著正相关(P均<0.01)。多元逐步回归分析显示,LES负性事件分、兴趣爱好、职务、LES总分和救灾经历进入回归方程。结论部分救灾官兵存在明显的心理应激反应,负性生活事件、兴趣爱好、职务和救灾经历等因素对官兵的心理状态影响较大。
Objective To understand the psychological stress injury status of officers and soldiers who dispatched to the plateau in an emergency and to discuss the relevant factors that affect the psychological and psychological responses of officers and men. Methods A total of 158 officers and men of Yushu earthquake relief department were randomly selected from the cluster. The general situation questionnaire, PTSD-SS and LES were used to investigate and analyze. Results There were 16.5% of the disaster-relieved officers and soldiers in the post-traumatic stress response, which was significantly higher than 6.5% of the officers and soldiers who did not participate in the earthquake relief work in the same department (χ2 = 7.09, P <0.01). There was a significant negative correlation between PTSD-SS score and job, hobbies, social support and disaster relief experience (all P <0.01), and positive correlation with trauma history, LES negative event score and LES total score (all P <0.01) . Multiple stepwise regression analysis showed that LES negative events, hobbies, positions, LES scores and disaster relief experience entered the regression equation. Conclusion Some officers and men of disaster relief have obvious psychological and stress responses. Factors such as negative life events, hobbies, duties and disaster relief experience have a great influence on the psychological state of officers and soldiers.